EAGAN CONCIERGE MEDICAL GROUP, INC
NPI 1083296446
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Q: What is Eagan Concierge Medical Group, Inc's NPI number?

The NPI number for Eagan Concierge Medical Group, Inc is 1083296446. It was assigned to this organization in the NPPES registry on April 26, 2021.

Q: What is Eagan Concierge Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 26, 2021

2658 GRIFFITH PARK BLVD STE 305, LOS ANGELES, CA 90039(310) 702-9803 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eagan Concierge Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGAN CONCIERGE MEDICAL GROUP, INC (NPI 1083296446) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since April 2021. The organization lists Breanna Splain, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1083296446

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameEAGAN CONCIERGE MEDICAL GROUP, INC

Location Address2658 GRIFFITH PARK BLVD STE 305Los Angeles, CA 90039-2520

Mailing Address2658 Griffith Park Blvd Ste 305Los Angeles, CA 90039-2520

Phone(310) 702-9803

Organization SubpartNo

Authorized OfficialBreanna SplainDirector Of Credentialing · (760) 835-6880

Enumeration DateApril 26, 2021

NPPES CertifiedMarch 25, 2021

✔ NPI 1083296446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2658 GRIFFITH PARK BLVD STE 305, Los Angeles, CA 90039

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagan Concierge Medical Group, Inc's NPI number?

The NPI number for Eagan Concierge Medical Group, Inc is 1083296446. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is Eagan Concierge Medical Group, Inc located?

Eagan Concierge Medical Group, Inc is located at 2658 Griffith Park Blvd Ste 305, Los Angeles, CA 90039. The listed phone number is (310) 702-9803.

What is Eagan Concierge Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Eagan Concierge Medical Group, Inc was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.